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ROSENBERG ACOSTA REYES M.D.
NPI 1861465254
Family Medicine in Louisville, KY

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
320 WEST WOODLAWN AVE, LOUISVILLE, KY 40214(502) 368-2563(502) 368-2427 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rosenberg Acosta Reyes M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSENBERG ACOSTA REYES M.D. (NPI 1861465254) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (35249) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1861465254
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROSENBERG ACOSTA REYESCredential: M.D.
Location Address320 WEST WOODLAWN AVELouisville, KY 40214
Mailing Address320 West Woodlawn AveLouisville, KY 40214 · (502) 368-2563 · Fax (502) 368-2427
Phone(502) 368-2563
Fax(502) 368-2427
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateFebruary 8, 2006
Last NPPES UpdateNovember 30, 2016
✔ NPI 1861465254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 35249
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
320 WEST WOODLAWN AVE, Louisville, KY 40214
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Other Identifiers 10

Other080178783KY · Rr Medicare Prov. Id
Medicare UPING97206KY
Other595419196KY · Medicare Ptan
Medicare PIN1898201
Other000000209925KY · Anthem Provider Id
Other000000209925Bcbs Anthem Id
Medicaid64004104KY
Other1158227KY · Passport Prov. Id
Medicare UPING97206
Medicare ID-Type Unspecified1898201KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rosenberg Acosta Reyes M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820099054
PECOS Enrollment IDI20070130000605
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
139 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
116 services58 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
102 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims50 services$6.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosenberg Reyes's NPI number?

The NPI number for Rosenberg Reyes is 1861465254. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Rosenberg Reyes located?

Rosenberg Reyes practices at 320 West Woodlawn Ave, Louisville, KY 40214. The listed phone number is (502) 368-2563.

What is Rosenberg Reyes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rosenberg Reyes enrolled in Medicare?

Yes. Rosenberg Reyes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rosenberg Reyes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Rosenberg Reyes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rosenberg Reyes affiliated with any hospitals?

According to CMS data, Rosenberg Reyes is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Rosenberg Reyes was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.